Mary Talbott, LPTA
Individual provider Active NPI Physical Therapy Assistant · Boydton, VA
NPI 1346882149 · NPPES record last updated Oct 13, 2019
Key facts
- NPI
- 1346882149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 1282 Sullivan Rd
Boydton, VA 23917-2628 - Phone
- (434) 579-1242
- NPI assigned
- Oct 13, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
1282 Sullivan Rd
Boydton, VA 23917-2628
Mailing address
1282 Sullivan Rd
Boydton, VA 23917-2628
Other providers in Boydton, VA
- Melissa Punk
- Patricia Ring
- Jan Skibinski
- Laura Smith
- Emily Spence
- Crystal Walsh
- Mary Alice Walters
- Lenora Wright
All providers in Boydton, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.